The Texas Indigent Health Care Association Board of Directors write to support your ongoing efforts to work with the Texas Health and Human Services Commission (HHSC) to avoid further reductions in Medicaid payments to the safety net providers that serve the Texas Medicaid population. Our indigent care programs rely on the viability of our local safetynet hospitals. Right now, our communities are feeling pressure from the decision not to approve three Medicaid managed care directed payment programs, and we are hopeful that the Centers for Medicare & Medicaid Services (CMS) will approve them before the end of the year. Click here to read more